DOAC

I recently posted about my experience with Existential OCD (https://app.treatmyocd.com/community/posts/2184668), and one of the most common questions I got was how to deal with DPDR (depersonalization and derealization), as it often goes hand-in-hand with existential obsessions. I wanted to create this post to summarize my thoughts and understanding of DPDR, so I have something to point people towards. For context, I'm not a trained mental health professional, doctor, or neuroscientist. I'm just someone who has been through the gambit with OCD, and has learned about the mind through conversations with several therapists, reading books, and watching videos. I also regularly consult with a few Buddhist teachers, and have been practicing meditation for several years. Please keep all of this in mind, and take everything I say with a grain of salt. First, some quick terminology: Depersonalization = a feeling of "detachment" from your own body, almost as if you're living life as an autonomous robot. Derealization = a feeling of "detachment" from the outside world, where people, places, and things feel distant or alien. They often go hand-in-hand, and mainly differ in terms of what feels "unreal" (yourself, or the outside world). It's easy to see how this can coincide with obsessive existential thoughts. After all, when things feel unreal, how can you help but think about the big questions of existence? So these feelings often make those with OCD extremely uncomfortable, and the desire to make it "go away" inevitably arises. But, just like with anxiety, most attempts to "get rid" of it generally make it worse. Even grounding exercises can become problematic if the goal of those exercises is to get rid of DPDR, just like any other compulsion. That's why my first piece of advice is always to acknowledge and accept the feeling. One way to get comfortable accepting any feeling is to understand where it comes from. As of today, the exact neurobiological workings of DPDR aren't fully understood, but one thing seems to be pretty clear: DPDR is the result of the brain momentarily shifting gears to protect itself from overwhelm. It's something that happens when you are stressed, and/or burnt out. It's the brain protecting itself from overstimulation, similar to a circuit breaker closing down parts of an electrical circuit to prevent overloading. It's important not to take this information as reassurance against the existential intrusive thoughts that arise during DPDR, rather simply as an explanation as to what is happening in the present moment. I'm a big proponent of using "maybe, maybe not" responses to intrusive thoughts. So in the case of DPDR, you may considering responding to the existential thoughts with: "Maybe that's true, maybe it isn't. Right now, this brain is overwhelmed, and it is protecting itself." (Side note: the use of "this brain" instead of "my brain" is a habit I've picked up from Buddhist philosophy. It's a way of practicing non-attachment to the self. If that doesn't work for you then feel free to phrase it in whatever way makes sense. I also recognize the beautiful irony of bringing up non-attachment in a post about DPDR 😂) Basically, you want to acknowledge the existential thoughts, acknowledge the feeling of DPDR, acknowledge that the DPDR is coming from a place of stress, and then refocus your attention to the present moment. The key is to not refocus your attention in hopes to GET RID of the thoughts or feelings, but to do it DESPITE those things. You need to teach yourself first-hand that none of those things are dangerous, and that you can continue to live life while scary thoughts exist in the mind, and while you feel uncomfortable things. The more you try to push the DPDR away, or logically dig yourself out of a hole, the more stressed you will become. And since DPDR is a stress response, this will only cause it to stick around longer. It's the same ironic cycle that fuels the intrusive thought / compulsion loop. Sometimes it can last for a few minutes, a few hours, days, weeks, or even months. While DPDR disorder exists, in many cases (especially with OCD), DPDR tends to persist because of our resistance to it. If you find that it just won't go away, try not to get discouraged. Instead, look for the resistance, and consider how you may be able to open up to the experience in a lighter way. If you find yourself resisting, gently remind yourself: "I don’t need to figure this out right now. I can let the brain do its thing and focus on living life." It can also help to recontextualize the DPDR. I like to think of it like a warm blanket or sweater, or the brain taking a nap. You wouldn't want to wake someone up from a nap, would you? Let 'em rest! I hope there is something helpful here for those struggling with this issue. Trust me, I've been there.

Often I listen to podcasts or audiobooks. Sometimes fiction, sometimes about ocd or anxiety. I did this before i got so consumed with ocd again. But no i am doubting myself if i do this to distract myself. I do it while doing chores or when I put on my make-up for example. And I have to admit it helps me to get distracted from my thoughts. How do you know when you do it to distract your thoughts (as a compulsion) or just because you like it? When do you know it is helpfull or not?

I wanted to share with you guys some of the things that have helped me in the past few weeks! If you’re open to it, maybe try a few and see how you feel! First I would really recommend leaning on God. If you’re not a believer you may be skeptical but if you’ve never tried to read the Bible, prayer or even just talking with God, I would recommend so much! My relationship with God has gotten so much better through this terrible illness and in turn I have noticed a lot of positivity, I feel substantially better since I’ve been trying to bring this to God instead of worry about it myself. If you can give your worries to God and learn to have faith that he is with you, loves and forgives you. You have a great step towards recovery and even just a more positive life. Next, try going outside! I know it sounds kinda dumb but I mean it! Some of my best days started with just going outside, reading a book and or listening to music. I went out and tanned, ate some fruit with some lemonade and read “Girl Wash Your Face” it was a great book! I would spend HOURS and it helped me so much! Take a walk, hike, etc.! This leads into the next thing…READING! I recently bought the new book “don’t believe everything you think” and the workbook and it is amazing! This also applies to reading your Bible and other books, specially ones targeting self help and things like that! Another thing is fitness! Try out the gym, I know there is days that you just can’t bring yourself to get up but in those days, make yourself go to the gym! Even if you just go walk on the treadmill or bike! Anything is better than nothing! Keep yourself active, I promise it will make you feel better! Find a good podcast! I have been listening to (The OCD Stories on Spotify), sometimes I’ve even listened while I was going to sleep and let it play through the night! Go on YouTube and follow Chrissie Hodges, NOCD and look for other people who help! Go on instagram and follow Chrissie Hodges, NOCD, iocdf, sincerelyocd, recoverocd, letstalk.ocd, my lovely ocd and there are so many more! Find good music! Again I’m going to bring up worship music some of my favs being ( I Thank God, Move of God, Hard fought Hallelujah, The Truth, Made for more, Thy Will, and there is so many more!) if you would like I can share my playlist! But overall music is so helpful and if you are not a believer or want something different I would recommend songs by Katy Perry, Lady Gaga, Kesha, Rihanna, Demi Lovato, Kelly Clarkson, even Billy Joel, Queen, Beck, and things of that nature that are gonna get you PUMPED UP! Lastly, hang out with PEOPLE! Don’t let OCD rule your life, put your ocd in a box best you can and go live your life! Get lunch with a friend, join a bible study, go get a massage, even just meet up with a friend and talk in a parking lot while shoving your face with fast food! You NEED interaction as much as you don’t want to! I know some of these are hard, some is triggering or you’re nervous that you’re gonna spiral, but step out of your comfort zone! That’s the way to get better! Do things that make you feel uncomfortable, the things that are unknown, the things you used to do before this! You can still live and love your life you don’t have to keep just “surviving”! And this isn’t a fix all, trust me I still have my days where I’m like nope I’m staying in bed and crying, but you need to push yourself! No one is coming to hold your hand and walk you out of this, you have to want to help yourself too! And you can do that! I know it’s scary and uncomfortable but you got this! We’re gonna kick some OCD butt! I hope you find this helpful and I wish you the most luck! Comment if you have questions and whatnot! 🫶